CARES Act Funds:
Do You Qualify for the Cares Act – PDF
Request for Earnings Information – PDF

2020 – 2021 EAP Flyer – Single

2020-2021 LIHEAP:

1. PY 2021 Privacy Notice and Rights and Responsibilities
2. PY 2021 EAP Application Checklist
3. PY 2021 EAP Application ONLY
4. PY2021 Application Form En Espanol
5. PY 2021 EAP Request for Services
6. PY 2021 EAP Energy Conservation Survey
7. PY 2021 EAP Income Verification Affidavit
8. PY 2021 EAP Landlord Affidavit
9. PY 2021 EAP Utility Affidavit
10. PY 2021 EAP Declaration of Absent Household Members
11. PY 2021 EAP ACH Authorization Form
12. PY 2021 EAP MAIL-IN PACKET

* If you have had ZERO income for the past three months, please fill out the Zero Income Affidavit

If you have utilities in rent, you must provide a current lease or Landlord Affidavit signed by your landlord, stating that the utilities are in the Landlord’s name.

Mail:
INDYEAP
P.O. Box 88429
Indianapolis, IN 46208

Drop off:
Monday-Friday 9am-4pm
John Boner Neighborhood Center
2236 E. 10th St.
Indianapolis, In 46201

Appeal Rights

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